| HCHRG EMERGENCY DEPT VISIT,LEVEL I | 99281 | $15 |
| HCHRG IMMUNIZATION ADMIN INITIAL VACCINE | 90471 | $22 |
| HCHRG POC FECAL OCCULT BLOOD | 82270 | $22 |
| Blood Glucose Test | 82947 | $22 |
| HCHRG LEVEL 1 EST PT EVAL AND MGMT | 99211 | $23 |
| HCHRG CHOLESTEROL | 82465 | $23 |
| HCHRG URINALYSIS W/MICRO | 81001 | $29 |
| Therapeutic Injection | 96372 | $33 |
| HCHRG LEVEL 1 SURGICAL PATHOLOGY GROSS EXAMINATION ONLY | 88300 | $40 |
| Complete Blood Count (CBC) | 85025 | $41 |
| HCHRG IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES | 87624 | $46 |
| Hemoglobin A1c | 83036 | $46 |
| Comprehensive Metabolic Panel | 80053 | $46 |
| HCHRG LEVEL 2 SURGICAL PATHOLOGY GROSS AND MICROSCOPIC EXAMINATION | 88302 | $49 |
| HCHRG LEVEL 2 EST PT EVAL AND MGMT | 99212 | $55 |
| HCHRG EMERGENCY DEPT VISIT,LEVEL II | 99282 | $57 |
| HCHRG DRAIN/INJECT LARGE JOINT/BURSA | 20610 | $63 |
| Lipid Panel | 80061 | $65 |
| TSH Thyroid Test | 84443 | $68 |
| HCHRG LEVEL 2 NEW PT EVAL AND MGMT | 99202 | $70 |
| HCHRG RAPID HIV 1/2 | 86703 | $70 |
| HCHRG PSA | 84153 | $76 |
| HCHRG LEVEL 3 SURGICAL PATHOLOGY GROSS AND MICROSCOPIC EXAMINATION | 88304 | $76 |
| Office Visit (Established Patient) | 99213 | $89 |
| HCHRG EMERGENCY DEPT VISIT,LEVEL III | 99283 | $96 |
| HCHRG LEVEL 4 SURGICAL PATHOLOGY GROSS AND MICROSCOPIC EXAMINATION | 88305 | $103 |
| Office Visit (New Patient) | 99203 | $109 |
| HCHRG NEISSERIA GONORRHOEAE AMPLIFIED PROBE TECHNIQUE | 87591 | $111 |
| HCHRG SKIN TEST: TB | 86580 | $112 |
| HCHRG CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TECHNIQUE | 87491 | $113 |
| Echocardiogram | 93306 | $119 |
| Office Visit (Complex) | 99214 | $125 |
| HCHPRO SIMPLE REPAIR SUPERFICIAL WOUNDS 2.5 CM OR LESS | 12001 | $129 |
| HCHRG GROUP 1 PNEUMOCYSTIS FUNGAL STAINS FOR MICROORGANISM | 88312 | $142 |
| HCHRG HZV VACC RECOMBINANT IM NJX | 90750 | $160 |
| Office Visit (New, Complex) | 99204 | $163 |
| HCHRG EMERGENCY DEPT VISIT,LEVEL IV | 99284 | $164 |
| Knee X-Ray | 73560 | $166 |
| HCHRG XRAY SHOULDER 2+ VIEWS COMPLETE | 73030 | $166 |
| HCHRG RADIOLOGIC EXAM CHEST SINGLE VIEW | 71045 | $170 |
| HCHRG LEVEL 5 EST PT EVAL AND MGMT | 99215 | $175 |
| HCHPRO I & D ABSCESS SIMPLE/SINGLE | 10060 | $177 |
| HCHRG FIRST TISSUE BLOCK WITH FROZEN SECTIONS SINGLE SPECIMEN CONSULT | 88331 | $179 |
| HCHRG PSYCHOTHERAPY 30 MIN WITH PATIENT | 90832 | $190 |
| Mammogram (Screening) | 77067 | $214 |
| HCHRG LEVEL 5 NEW PT EVAL AND MGMT | 99205 | $215 |
| HCHRG EMERGENCY DEPT VISIT,LEVEL V | 99285 | $239 |
| Chest X-Ray (2 Views) | 71046 | $264 |
| HCHRG LEVEL 5 SURGICAL PATHOLOGY GROSS AND MICROSCOPIC EXAMINATION | 88307 | $299 |
| HCHRG IV INF HYDRATION INITIAL 31 MIN TO 1 HR | 96360 | $331 |
| HCHRG PSYCHOTHERAPY 45 MIN WITH PATIENT | 90834 | $333 |
| DEXA Bone Density Scan | 77080 | $364 |
| HCHRG PSYCHIATRIC DIAGNOSTIC EVALUATION | 90791 | $414 |
| Psychotherapy (60 min) | 90837 | $422 |
| Head CT Scan | 70450 | $738 |
| HCHRG LEVEL 6 SURGICAL PATHOLOGY GROSS AND MICROSCOPIC EXAMINATION | 88309 | $751 |
| HCHRG BREAST BIOPSY NEEDLE CORE W/O GUIDANCE | 19100 | $1,287 |
| Cervical Spine MRI | 72141 | $1,289 |
| Knee MRI | 73721 | $1,569 |
| Lumbar Spine MRI | 72148 | $1,569 |
| HCHRG PROSTATE BX,NEEDLE/PUNCH,SINGLE OR MU | 55700 | $1,660 |
| Epidural Steroid Injection | 64483 | $1,856 |
| Brain MRI with Contrast | 70553 | $2,155 |
| HCHRG POLYSOM 6/> YRS 4/> PARAM | 95810 | $3,105 |